Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $48.53 / $83.45	Facility		$21.73	$48.53	$83.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $20.97 / $21.73	Professional		$19.18	$20.97	$21.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $124.53	Facility		$25.57	$25.57	$124.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $15.34 / $15.46	Professional		$15.34	$15.34	$15.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $79.22 / $118.58	Professional		$51.83	$79.22	$118.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $47.30 / $115.79	Facility		$17.87	$47.30	$115.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $15.43 / $29.32	Professional		$11.80	$15.43	$29.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $31.96 / $37.84	Professional		$30.68	$31.96	$37.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $25.57	Facility		$18.62	$18.62	$25.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $28.00 / $42.00	Professional		$24.41	$28.00	$42.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $29.93 / $4,071.00	Facility		$17.89	$29.93	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $30.36 / $4,071.00	Professional		$17.89	$30.36	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $12.78 / $18.34	Professional		$10.27	$12.78	$18.34